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Mod A Unit 3
Review
Question | Answer |
---|---|
tid | three times a day |
qid | four times a day |
adlib | as desired |
Tylenol | APAP |
hours of sleep | hs |
as needed | PRN |
bid | two times a day |
pain | pn |
immediately | STAT |
night | noc/noct |
blood pressure | BP |
beats per minute | BPM/bpm |
temperature | temp |
pulse | P |
respiration | R |
pain scale | PS |
shortness of breath | SOB |
ambulatory | amb |
complains of | C/O |
right eye | OD |
left eye | OS |
both eyes | OU |
right ear | AD |
left ear | AS |
both ears | AU |
drop | gt |
grain | gr |
encephal/o | brain |
cerebell/o | cerebellum |
dur/o | dura mater |
mening/o | meninges |
radicul/o, rhiz/o | nerve root |
dermat | skin |
spin/o | spine |
spondyl/o,vertebr/o | vertebra |
ia | condition |
graph | record |
osm/o | sense of smell |
hydr/o | water |
To advise means to | counsel |
Litigation is a | lawsuit |
When something is not movable, we use the term | stationary |
Care involves all the health needs of the pt | holistic |
During the interview, the medical assistant questions the patient as follows: “Describe your pain for me. This is an example of a | open-ended question |
An effective relationship that considers both physical and emotional needs | rapport |
Being a good communicator means that the medical assistant will effective in | sending and receiving the message |
Growth and development process involving physical, social, and emotional functions | maturation |
Are you an only child is an example of a | closed question |
The use of arm gestures, facial expressions, and turning one’s head are all examples of | nonverbal communication |
The tone of voice, speed of speech, and sighing on the part of the patient while speaking are all examples of | verbal communication |
When you are interviewing a patient, the use of closed questions is indicated when you are looking for | one word |
Words formed from the first letter of several words | acronym |
delayed pt should be treated based on their level of maturation. | developmentally |
A method of arranging files using straight numbers | numerical |
Factors that reduce the effectiveness of communication include | language and culture |
A type of chart format the divides each pt’s problem into subjective, objective, assessment, and plan data | SOAP |
In order for the medical office to submit forms for the patient to the insurance company, the patient usually needs to sign a | release form |
The ability to process new information and to apply it appropriately in a given setting reflects a pt’s | mental function |
The patient making the statement, “I feel like someone is pounding nails into my head,” would have this statement documented in the SOAP format under | subjective data |
The second unit in alphabetical filing is the pt’s | first |
The most common method of filing is | alphabetical |
In the alphabetical each name is broke down into | units |
Diagnostic tests, medications, and treatments to be started are documented in the SOAP format under | plan |
The medical record is owned by | doctor |
Information in the medical record is owned by | patient |
The physician’s preliminary diagnosis is documented in the SOAP format under | assessment |
Assessing ______________________from the receiver allows you to determine if the message was understood the way it was intended. | feedback |
The process of documenting events and services concerning the pt’s care | charting |
Words that show action in a sentence | verb |
Words that describe the contents, name, or subject matter on a label | caption |
How many feet should you stand back to respect someone’s personal space | 1.5-2.5 |
What percentage of communication is nonverbal | 90% |
The process of underlining a keyword to indicate how a document should be filed | coding |